Provider Demographics
NPI:1568932028
Name:FRANCIA, LEAH MICCI MADRID (PT)
Entity Type:Individual
Prefix:
First Name:LEAH MICCI
Middle Name:MADRID
Last Name:FRANCIA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 MCFARLAND DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-3682
Mailing Address - Country:US
Mailing Address - Phone:302-824-4295
Mailing Address - Fax:
Practice Address - Street 1:750 SHIPYARD DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-5157
Practice Address - Country:US
Practice Address - Phone:302-658-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-27
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0003089225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist